Ukiah, CA —
OSHA Injury Report: 1297 - UKIAH CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1297 - UKIAH CA in 1275 Airport Park Blvd, Ukiah, CA 75041 resulted in job transfer or restriction. Employee was sERVICE DELI CLERK in wholesale Grocer.
Where did this happen?
- Establishment
- 1297 - UKIAH CA
- Parent company
- Costco Wholesale
- Street
- 1275 Airport Park Blvd
- City
- Ukiah
- State
- CA
- ZIP
- 75041
- On-site location
- SERVICE DELI
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 13
Before the incident
Loading deli chicken to skewers
What happened
EE briefty moved the skewers a felt a pop
Injury or illness
Strain Sprain Forearms
Object or substance involved
Deli Rotisserie Skewer
Summary line
Strain Sprain Forearms Holding or Carrying Deli Rotisserie Skewer
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 217
- Total hours worked
- 341329
- EIN
- 911223280
- Establishment ID
- 1217493
- Employer case #
- WC608G5667
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 16:01:00.000
- Filing year
- 2023
- Submitted
- 04MAR24:19:28:00
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Ukiah, CA—
1297 - UKIAH CA
View 1297 - UKIAH CA's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.